Community Psychology Commons^™

Engaging Youth And Families Within The Context Of Evidence-Based Treatment (Ebt) Implementation: Examining Integrity Of Engagement Practices To Different Ebt Information Sources, Eleanor Wu

Theses and Dissertations

Promoting and maintaining client engagement has proven to be a significant challenge across community mental health settings, including within the context of implementing evidence-based treatments (EBTs) (De Haan et al., 2013). Few efforts have been made to equip providers with empirically-sourced engagement strategies outside of the limited set of engagement procedures covered in EBT protocols. To inform efforts for improving EBT accessibility, the current study characterizes the delivery of engagement practices from the literature within the context of EBT implementation, and examines provider integrity of engagement practice use according to two information sources (i.e., the provider’s EBT training history and …

Xenophobia And Racism Against Asian Americans During The Covid-19 Pandemic: Mental Health Implications, Hsiu-Lan Cheng

Journal of Interdisciplinary Perspectives and Scholarship

No abstract provided.

Introduction To The Issue: Evaluating The Psychological Impact Of Covid 19, Saera R. Khan, Christine J. Yeh

Journal of Interdisciplinary Perspectives and Scholarship

Evaluating COVID 19 in its entirety is an enormous undertaking--one which will take many years and many scholars from every academic discipline to fully convey the impact of this disaster. In this three-part Special Issue of the Journal of Interdisciplinary Perspectives and Scholarship, we present current understandings of the immediate impact of COVID 19. The authors of these contributions participated in a webinar series produced by the University of San Francisco’s Center for Teaching Excellence and Center for Research, Artistic, and Scholarly Excellence in March through May 2020. Scholars from various academic sub-disciplines were invited to discuss the impact of …

Don’T Let Covid-19 Disrupt Campus Climate Surveys Of Sexual Harassment, Kathryn Holland, Lilia M. Cortina, Vicki J. Magley, Arielle L. Baker, Frazier F. Benya

Department of Psychology: Faculty Publications

Surveying a campus community about sexual harassment can be a daunting task during normal times. It’s especially daunting during a pandemic. Institutional leaders may balk at committing scarce resources to survey efforts. Some may wonder how to interpret results that look dramatically different from prior assessments. Also, they may worry about adding to the burdens of already stressed staff, faculty, and students. Indeed, these concerns and complexities came up recently within the work of the National Academies’ Action Collaborative on Preventing Sexual Harassment in Higher Education (1).

For the reasons outlined above, sexual harassment surveys should continue in higher education, …

Impacts Of Mental Health First Aid On Mental Health Literacy And Stigma, Junseon Hwang

Student Theses

Mental Health First Aid has been developed to train the general public to give initial support to those in mental health crisis and development. The effectiveness of Mental Health First Aid has been questioned due to its relatively short history of the course. Mental Health First Aid was recently widely-disseminated in New York City as part of the ThriveNYC initiative. While most studies were supportive of the training, there has been no study that specifically examines New York residents. We recruited 328 New York residents who self-reported whether or not they have participated in Mental Health First Aid via Amazon …

Grassroots Tales: Journeys Of Inward Healing And Outward Movement Building – “A Story Of Youth Development And Healing”, Andrew Cory Greene

Dissertations, Theses, and Capstone Projects

Rooted in Liberation Psychology epistemology, this dissertation was engaged to liberate myself as well as psychology. Positing Healing Justice and Sociopolitical Development as theoretical guides, this dissertation explored a community specific approach of radical healing to develop urban youth’s abilities to sustain (build) spirit and collective hope for grassroot movement building. This dissertation asks, what are the possibilities of bringing urban youth (n=9) together who shared similar realities, dared to dream together (i.e., think tank), and turn those dreams into a Grassroot Movement Building?

The methodological praxis of this dissertation project was politically and theoretically situated to study learnings at …

Does The Intake Method Affect Client Return Rate In A Community Counseling Center?, Ronald J. Nielsen

Antioch University Dissertations & Theses

There is a large body of research examining the effects of client, therapist, and treatment modality variables on client outcome in mental health treatment. However, there are only a handful of retrospective studies of the intake process and its effect on client dropout or retention. The genesis of this research study was to examine and evaluate the intake methods of a community based, not for profit counseling center. The clinic found that clients would fail to return for therapy following an intake interview with a different counselor. Feedback from stakeholders indicated that the formal intake process was inefficient and direct …

Predictors Of Social Distancing And Mask-Wearing Behavior: Panel Survey In Seven U.S. States, Plamen Nikolov, Andreas Pape, Ozlem Tonguc, Charlotte Williams

Economics Faculty Scholarship

This paper presents preliminary summary results from a longitudinal study of participants in seven U.S. states during the COVID-19 pandemic. In addition to standard socio-economic characteristics, we collect data on various economic preference parameters: time, risk, and social preferences, and risk perception biases. We pay special attention to predictors that are both important drivers of social distancing and are potentially malleable and susceptible to policy levers. We note three important findings: (1) demographic characteristics exert the largest influence on social distancing measures and mask-wearing, (2) we show that individual risk perception and cognitive biases exert a critical role in influencing …

Experiences Of Latinx's Adult Transition To The U.S. And The Clinical Implications That Arise In Acclimating Into The Dominant Culture: An Interpretive Phenomenological Analysis, Gabriela Olavarrieta

Doctoral Dissertations

There has been a significant gap in the literature regarding the lived experience of the Latinx adult transition to the United States and the clinical implications that arise in acclimating to the dominant culture, particularly under the Trump Administration. The approach for the current research examined Latinxs’ adulthood transitions to the United States, experiences of acculturative stress, including instances of discrimination as well as their experiences acclimating or assimilating into the dominant culture. This study also examined what seeking, or being unable to seek, mental health services looked like in the current sociopolitical climate. Interpretive phenomenological analysis was utilized to …

Minority Stress, Social Support, And Mental Health Among Lgbqp+ Religious Disaffiliates, Kate Jablonski

Doctoral Dissertations

The present study investigated the association between four minority stress processes (victimization, internalized heterosexism, rejection sensitivity, and disclosure of sexual orientation identity) and symptoms of depression and anxiety among lesbian, gay, bisexual, queer, pansexual, or otherwise non-heterosexual (LGBQP+) disaffiliates from non-affirming religions, and whether social support mediated these relationships. A nonexperimental, cross-sectional, correlational design was used. Participants were recruited through Reddit, a popular social-networking site, and completed an online survey that assessed experiences of minority stress, perceptions of social support, and symptoms of depression and anxiety. Participants were 161 non-religious, US-born, cisgender, LGBQP+ Reddit-users who identified as having disaffiliated from …

Atitiudes Tow Ards Computer Games For Learning And Pl.A Yer Archetypes: An Exploration Of Measures On Preintervention Player Characteristics For Serious Game-Based Interventions, Benjamin Lee

Dissertations & Theses (Open Access)

Serious game-based interventions offer promising health outcome results with the aid of pre-intervention player tailoring and the development of measurements that evaluate pre-intervention player characteristics and subgroups. Video gaming measures can potentially provide helpful tailoring information that discerns individual video gaming preferences which could influence their overall user experience. It is critical that measures that target adolescent video gaming be psychometrically validated. There is a gap in the literature with psychometrically validated measures evaluating adolescent attitudes towards computer games for learning and gaming archetypes. Therefore the aims of this dissertation were to 1) evaluate the psychometric properties (i.e., reliability and …

A Comparison Of Interdisciplinary Palliative Care Teams And Leadership Attitudes Of Nci-Designated And Non-Nci-Designated Cancer Centers In The United States From 2009-2018, Joseph Chen

Dissertations & Theses (Open Access)

Background: Interdisciplinary palliative care (PC) teams (IDTs) are essential to improving patient outcomes while cancer center executives have a key role in defining the future of PC. Objectives: To compare PC team compositions and executives’ attitudes towards PC between NCI (National Cancer Institute)-designated cancer centers (NCI-CCs) and non-NCI-designated cancer centers (non-NCI-CCs) in 2018 and to compare changes in team composition and executives’ attitudes and beliefs between 2009-2018. Methods: PC program leaders (PL) and cancer center executives at all 62 NCI-CCs and a random sample of 60 of 1252 non-NCI-CCs were surveyed from April-August 2018. The PL survey examined team composition …

Disparities In Patient Safety Events For Hospitalized Patients, Nnabuchi Anikpezie

Dissertations & Theses (Open Access)

Background: Twenty years post IOM’s landmark publication, “To Err is Human: Building a Safer Health System”, still no consensus on case definition for patient safety events (PSEs). Available data on incidence and magnitude of PSEs are more than 10 years old, while data on disparities are ambiguous. Objective: To examine the racial and socioeconomic disparities in reported patient safety events (PSEs) among hospitalized individuals. Design, Setting, and Participants: Cross-sectional study of patient safety events using the 2016 National Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project (HCUP). A total of 6,753,100 discharges were identified as being at risk …

Causal Analysis Theory And Application To Alzheimer’S Disease (Ad) And Heart Failure (Hf), Shudi Li

Dissertations & Theses (Open Access)

Alzheimer's disease (AD) and heart failure (HF) are two complex diseases that are caused by the combination of genetic and epigenetic, environmental and other lifestyle factors. Understanding the relationships between genetic and epigenetic variants and other factors of such complex diseases could assist researchers discover disease mechanisms and develop targeted therapies. Much of the research in genetics/epigenetics studies regarding AD and heart diseases have been focused on association analysis. Many researchers have identified genetic/epigenetics variants and phenotypes that are significantly associated with disease pathology. While most of these studies utilize association analysis as the analytical platform, the signals identified by …

Costs Of Coronary Artery Bypass Grafting And Percutaneous Coronary Intervention In Texas, Saleh Hamed Alsarhan

Dissertations & Theses (Open Access)

Background: Coronary artery bypass grafting (CABG) surgery and percutaneous coronary intervention (PCI) procedures have been associated with substantial financial costs in Texas. The annual hospital charges in 2016 for CABG surgeries and PCI procedures in Texas were $3.6 billion and $4.1 billion, respectively. Recently, these two procedures have become a target for bundled payment initiatives. Due to the lack of information about the demographics and variations associated with CABG and PCI episode payments for commercially insured patients, more research needs to be conducted to understand the magnitude of payments and the drivers of variation in payments in Texas. Objective: This …

A Qualitative Inquiry Exploring Help-Seeking Behaviors And Resilience Strategies Women With Disabilities Utilize When Experiencing Gender-Based Violence In Rural Communities, Kimberly Ann Aguillard

Dissertations & Theses (Open Access)

Women with disabilities (WWD) are at pronounced risk of experiencing multiple forms of severe and prolonged violence, and they face barriers to accessing help. A multitude of factors associated with disability and rurality may compound the experience of violence, including geographic and social isolation, forcing WWD in rural settings to navigate extremely dangerous situations with limited avenues for accessing help and securing safety. This research explored how women with disabilities experiencing violence while living in rural communities navigate programs and policies, make decisions about seeking and securing help, and build resilience despite experiencing violence. The current study methodology empowers this …

Semiparametric Methods To Improve Risk Assessment And Dynamic Prediction, Wen Li

Dissertations & Theses (Open Access)

Incorporating promising biomarkers to improve risk assessment and prediction is the central goal in many biomedical studies. Cost-effective designs and longitudinal designs are often utilized for measuring biomarker information, but they pose challenges to the data analyses. Statistical analyses for these kinds of data are routinely performed using parametric models. When the model assumptions are violated, parametric models may lead to substantial bias in parameter estimation, risk evaluation and prediction. In this dissertation, we will develop robust, exible statistical methods for risk assessment for matched case-control, nested case-control, and case-cohort designs, as well as a dynamic prediction tool for longitudinal …

Heat Stress Related Symptoms And Pulmonary Function In Oil Spill Response And Cleanup Workers Following The Deepwater Horizon Disaster, Yiyou Li

Dissertations & Theses (Open Access)

The objective of this study was to estimate the relationship between heat stress and pulmonary function among OSRC workers following the Deepwater Horizon (DWH) disaster. Methods: Pulmonary function test results were analyzed from a cohort of oil spill response and cleanup workers 1-3 years following the DWH disaster (N=5,131). Proxies for heat stress was employed by using information on heat stress-related symptoms as well as a questionnaire on stopping work due to heat reported during a structured telephone enrollment questionnaire. Associations between heat stress proxies and lung function were estimated using multivariable linear models and binomial logistic regression models while …

Epidemiology Of No -Syndromic, Orofacial Clefts In A Registry­Based, Birth-Cohort In Texas: Differences By Cleft Type And Presence Of Additional Defects, Maria Luisa Navarro Sanchez

Dissertations & Theses (Open Access)

Although orofacial clefts, which include cleft palate alone (CP) and cleft lip with or without cleft palate (CL±P), are among the most common birth defects, their etiology is complex and is generally not well understood. While some clefts are caused by rare syndromes, the majority occur in the absence of a syndrome, either in association with co-occurring defects or as isolated defects. Among these non-syndromic cases, epidemiologic studies have identified demographic variables that are associated with CP and/or CL±P, such as geographic location and infant sex, as well as several maternal characteristics, though some of these associations have been weak …

Heat Stress Related Symptoms And Pulmonary Function In Oil Spill Response And Cleanup Workers Following The Deepwater Horizon Disaster, Yiyao Li

Dissertations & Theses (Open Access)

Objective: The objective of this study was to estimate the relationship between heat stress and pulmonary function among OSRC workers following the Deepwater Horizon (DWH) disaster. Methods: Pulmonary function test results were analyzed from a cohort of oil spill response and cleanup workers 1-3 years following the DWH disaster (N=5,131). Proxies for heat stress was employed by using information on heat stress-related symptoms as well as a questionnaire on stopping work due to heat reported during a structured telephone enrollment questionnaire. Associations between heat stress proxies and lung function were estimated using multivariable linear models and binomial logistic regression models …

Area-Level Landfill Density And Asthma Prevalence In Urban Texas Areas, Jessica Meighan Herrin

Dissertations & Theses (Open Access)

Environmental exposures, especially air pollutants, pose a threat for an increase in asthma prevalence. In particular, hydrogen sulfide (H2S) gas can cause severe health effects closely resembling asthmatic symptoms. Ambient concentrations of H2S gas correlates with the amount of solid waste found in landfills. The potential for adverse health risks associated with H2S emitted from landfills is of concern for those populations living in close proximity to landfills. Asthma is one of the adverse health effects that can occur due to H2S exposure. However, there is a lack of detailed studies characterizing possible associations between the density of landfills and …

Cross-Sectional Analysis Of The Relationship Between Violent Crime And Mental Health Disorders In A Sample Of Homeless Adults Recently Released From Jail, Addison Ransom

Dissertations & Theses (Open Access)

Adverse mental health conditions among incarcerated populations are high, and treatment for these conditions is particularly low. Additionally, there is a culture of stigma in the United States towards those with mental health conditions and violent criminal history, contributing to mass incarceration. The present cross-sectional study sought to assess the association between violent criminal history and mental health symptoms among recently incarcerated homeless adults in Dallas, Texas. This study included 230 participants, taking place at The Bridge Homeless Recovery Center, evaluating non-violent versus violent criminal history. Outcome measures of positive screens for post-traumatic stress disorder, generalized anxiety disorder, and depression …

Impact Of Substance Use In Social Networks On Antiretroviral Therapy Adherence For Hiv-Positive Younger Men Who Have Sex With Men, Natascha Del Vecchio

Dissertations & Theses (Open Access)

The community of young men who have sex with men (YMSM) has higher rates of substance use than the general population and the use of alcohol, cannabis, and illicit drugs has been shown to have a negative impact on the HIV care continuum. Our first aim was to understand the prevalence of substance use in the community through the use of self-reported, RDS-II, and RDS-SS estimates. We used multivariable logistic and negative binomial GEE with QIC selection to determine the factors important to having a prescription and staying adherent, respectively. Selected variables were included with a subset of substance use …

Effect Of The Expanded Prospective Payment System On Dialysis Initiation, The Usage Of Erythropoiesis-Stimulating Agents, And Medicare Expenditures, Lu Zhang

Dissertations & Theses (Open Access)

In January 2011, the U.S. Centers for Medicare & Medicaid Services (CMS) implemented the expanded prospective payment system (PPS) for financing the management of end-stage renal disease (ESRD). Expanded PPS may not only change healthcare providers’ decisions about patient care by removing the financial incentives associated with the previous composite rate payment methodology, but also change the Medicare expenditures associated with various treatment patterns by using a constant base rate for all dialysis modalities. This study aimed to examine the effect of the expanded PPS on providers’ decisions on timing of dialysis initiation and ESA utilizations in ESRD patients as …

Hospital Market Analysis Using A Cohort Of Privately Insured Patients With Total Hip And Knee Replacement Procedures, Elifnur Yay Donderici

Dissertations & Theses (Open Access)

Background: Several recent studies have analyzed the contribution of hospital inpatient prices and utilization to variation in medical spending. However, it is still unknown how the drivers of spending for specific procedures differ within privately insured patients. Next, the market concentration of hospitals has been a matter of concern for several decades. However, researchers usually calculate Herfindahl-Hirschman index (HHI) as a measure of market concentration or power, but there is a drawback of using this measure. Hospitals sell differentiated products, and the HHI measure does not take this differentiation into account in its formulation (Gaynor and Town, 2011). Objective: First …

The Multilevel Factors Facilitating Or Impeding Healthcare Access Among Refugees Residing In Bexar County Texas, Howaida Werfelli

Dissertations & Theses (Open Access)

The goal of this study was to increase understanding of healthcare access among refugees by investigating the multilevel factors that facilitate or impede healthcare access among refugees who have resettled in Bexar County, Texas. The multilevel factors facilitating or impeding access to healthcare for refugees resettled in Bexar County were identified as follows: health literacy, level of educational attainment, proficiency (reading, writing and, speaking) in English, proficiency (reading, writing and speaking) in native language, translation services, public transportation, income level, a shortage of healthcare providers, navigation of the healthcare system, the fragmentation of the healthcare system, insurance status, staff shortages …

Health Disparities Across Funcitonal Disability Groups, Katherine Sanches

Dissertations & Theses (Open Access)

Background: People with disabilities experience higher rates of chronic disease and poor health status compared to those without disability. People with disabilities do not participate in community health programs to the same degree as those without disability due to social, programmatic, and environmental barriers. The Community Health Inclusion Index (CHII) is a community health assessment tool which evaluates the degree to which community-level health promoting opportunities to promote nutrition and physical activity are inclusive and accessible to people with disabilities. The CHII assess barriers to inclusion across five domains: build environment, equipment, program/services, staff, and policies. Objective: The purpose of …

The Direct Primary Care Model: Practice Characteristics And Patient Experience, James David Miller

Dissertations & Theses (Open Access)

The Direct Primary Care practice model has been growing in both number of practices and public awareness. However, there has been little academic research about this emerging practice model. This research is aimed to describe the current state of the DPC practice model by examining the services provided, geographic distribution of practices, statistical distribution of membership fees, demographic characteristics of physicians using the model and to determine whether regional pricing variation existed. In addition, differences were analyzed between the patient satisfaction levels in DPC and fee-for-service practices. A dataset was created by visiting the website of all known, non-corporate, DPC …

Determining The Racial And Ethnic Differences In Neonatal Intensive Care Unit Admission Rates, Youngran Kim

Dissertations & Theses (Open Access)

Background: Recent trends show that the utilization of neonatal intensive care unit (NICU) has extended beyond severely ill infants and increased substantially across all birth weights. However, little is known about what drives the growth of NICU admission rates and whether these trends differ by race/ethnicity. Methods: The study used 2008-2018 Natality Files with restricted use of state and county-level information. Crude and risk-adjusted NICU admission rates, overall and stratified by birth weight group, were compared between black and white infants and between Hispanic and white infants. Kitagawa decomposition and Oaxaca-Blinder decomposition analyses were conducted for the temporal increase in …

The History Of Sex Education In The United States: With Application To South Dakota, Lauren A. Lavin

Honors Thesis

Due to the lack of standards set forth by South Dakota, sex education is varied and non-standardized across the state. The goal of this study is to understand what a typical sex education class in South Dakota looks like. A survey was sent to sex educators in South Dakota to assess the demographics of educators, the amount of time spent on sex education, and what topics of sexual health they currently teach in grades 1-5, 6-8, and 9-12 in comparison with the topics they believe should be included in an ideal sex education program. The results show that ideal topic …